Quote from markdanurse
So what's the point again? oh yeah, increased tuition to the universities and more title related ego for the nurse with low self-esteem.
It's just one nurse's opinion. What's yours? Speak up and let me know.
1. Change is good; status quo equals slow self-termination.
2. "Actual clinical nurses" are largely disinterested in getting involved in the issues that are discussed by the AACN. For that reason, it's hardly reasonable to be solely critical unless you are offering an alternative. BTW; I disagree with most of what the AACN promotes, but there are few others making manuevers to maintain and improve the professionalization of nursing.
3. As of this year, a new grad MSN will still be entry level for NP's. In fact, many of the DNP programs require an MSN/NP degree to enroll. Additionally, it is not necessarily four years of education; for example, some of the programs take only two semesters and a summer session to complete. You could attend, say, Emory, complete an FNP program full-time in one year, transfer to even an Ivy league school (Columbia), and complete the DNP in 2 more years. Less time elsewhere, more time somewhere else. Generalizations sometimes work, but not in this discussion.
4. It's not possible to make scientific conclusions (i.e. via JAMA) about the adequacy of MSN NP programs when there has not yet been a comparison to the DNP practice...I hardly believe the DNP population is large enough now to make reasonable clinical comparisons.
5. There is no real shortage of nurses; there are lots of nurses out there simply doing something else besides nursing because they don't like being nurses. This tells me that the workplace shortage has nothing to do with the educational requirements, and is more influenced by working conditions. Manipulating the educational requirements will have little effect on exacerbating the shortage, because as it stands now, there are insufficient GRADUATE LEVEL PREPARED NURSES to teach the overwhelming number of applicants to nursings schools...applicants are being turned away, and the key to reducing the workplace shortage is in the workplace, not the colleges. And bickering is not productive, but neither are more false generalizations like saying the difference between an ADN or Diploma RN and a BSN RN is just 2-3 classes. I had to take almost 60 more credits to get my BS in nursing after completing my Diploma. BTW, ND programs have already started to phase out in favor of DNP programs; some schools are replacing their ND program.
6. Unless you are a Phys. Therapist, lawyer, or optometrist, I don't know how you can say these jobs don't require a doctorate; when it comes to representation, I wouldn't want a lawyer who hadn't completed a Juris Doctorate, or have my eyes examined by someone who hadn't completed a doctorate in optometry. In addition, this has served to maintain competition and higher standards among it's providers. These are successful occupations, and we should be observing them for what they are doing right rather than criticizing their progress.
Scope of practice will not change for NP's if they refuse to show professional progress. And I believe DNP's will be called "Doctor." I also believe the systemic implementation of a DNP program will be very good for nursing; for too long, the popular terminal degree for professional nurses was the PhD, and it was like many other PhD genres...publish or perish. The DNP offers a great alternative to nurses who want to share their practical skills in education, politics, and administration, without having to engage in something like research and publication.
The DNP is a great program, and I think it will be a great compliment to the industry. I hope it is able to co-exist peacefully with the still-vital PhD population, and my only concern is that it may dilute the PhD leaders in nursing.
The last comment seems to be a cheap shot with no relevance, and I think regressive thinking serves only to reinforce generations of stereotyping of the nursing profession.
PS. Here is my Scarlet Letter I'd like to display until my infraction points are gone for a post reported by lamazeteacher; I have 20 infraction points for suggesting that she was being surrealistic, assumptive, and speculative after she told me my viewpoint was "typical of other Arab viewpoints" and "sheer propoganda". My post was promptly removed.